KELLY ALVA

• Collaborated with multidisciplinary medical records team to facilitate transition from paper-based to electronic health records, enhancing teamwork in healthcare.

• Performed CMI calculations for patient data, contributing to accurate reimbursement rate assessments and quality evaluations.

• Conducted audits in LTRAX, identifying improvement areas in documentation accuracy and collaborating on quality initiatives to enhance data integrity.

• Submitted data and verified compliance with California’s HCAI reporting standards, ensuring regulatory adherence and patient confidentiality.

• Gained expertise in interrupted stay billing; conducted chart audits to ensure billing accuracy and compliance with reimbursement standards.

• Executed precise data entry for CMS reporting in LTRAX; expanded proficiency in iQIES for effective healthcare data management.

• Oversaw ROI process focused on HIPAA compliance, meticulously documenting patient information requests to ensure confidentiality.

• Managed medical document transfers to hospitals and insurers, facilitating effective communication for improved patient care.

• Presented audit results to Director of Health Information Management, refining practices and enhancing data presentation skills.

• Developed knowledge in Long-Term Acute Care Hospital (LTCH) DRGs and reimbursement calculations using 3M systems for streamlined coding.

• Conducted data analysis for discharge summaries; performed cost-effective analysis of shredding operations to improve operational efficiency.

• Strengthened understanding of healthcare documentation standards, including CMS and HIPAA guidelines, ensuring compliance in documentation practices.

• Managed wound care photo uploads to MEDITECH, emphasizing accurate visual documentation in quality care.

• Developed resources on patient privacy rights and ROI processes, fostering awareness among patients and families.

• Integrated feedback from healthcare professionals to establish best practices, enhancing accuracy and efficiency in documentation.

• Navigated EHR systems, including MEDITECH and iQIES, enhancing technical skills for future health informatics roles.

• Managed and analyzed research data to support clinical trials, utilizing comprehensive EHR system knowledge.

• Extracted, analyzed, and visualized clinical research data using R, Python, and Excel, demonstrating strong statistical and analytical abilities.

• Ensured adherence to HIPAA, CMS, and other healthcare regulations in patient data management for research contexts.

• Provided clear, actionable data reports to support research initiatives and enhance project outcomes through effective communication and collaboration.

• Assisted with data management for clinical research, including data collection, entry, and analysis.

• Supported research teams by organizing and maintaining clinical datasets to ensure data integrity for ongoing studies.

• Conducted statistical analysis of patient data using ICD-10 coding for research and publication purposes.

• Contributed to preparation of data for audits, research presentations, and publication reviews.